Individual provider Active NPI

Tabitha Wamere Mbugua

  • Family Nurse Practitioner
  • Horsham, PA
National Provider Identifier
1568047389
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011592 Issued in DE
Practice address
680 Blair Mill Rd
Horsham, PA 19044-2223
Phone
(302) 521-0763
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0011592 DE Primary

Addresses

Primary practice location

680 Blair Mill Rd
Horsham, PA 19044-2223

Mailing address

222 Delaware St Ste Boxa
Historic New Castle, DE 19720-4855
Phone (302) 568-7549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419000032 DE Practitioner - Nurse Practitioner 8921486846 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Post Acute Medical Services 1Group PAC ID 2466727755, 34 clinicians

Practice addresses (Care Compare)

Historic New Castle, DE 19720
Phone (302) 521-0763

700 Foulk Rd
Wilmington, DE 19803-3708
Phone (302) 764-0181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0011592DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
De Pacs 2 PA CurrentSince Apr 22, 2024 Accepting new patients
Ishara LLC Family CurrentSince Feb 12, 2025 Accepting new patients
Delaware Post Acute Medical Services 1 CurrentSince Apr 22, 2024 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients

Locations

700 Marvel Rd
Milford, DE 19963
Phone (302) 422-3303

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1568047389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 DELAWARE ST STE BOXA",
            "city": "HISTORIC NEW CASTLE",
            "state": "DE",
            "postal_code": "197204855",
            "telephone_number": "302-568-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BLAIR MILL RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442223",
            "telephone_number": "302-521-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBUGUA",
        "first_name": "TABITHA",
        "middle_name": "WAMERE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

Verify at the official NPI Registry.